• Supervisor, Clinical Grievance and Appeals

    Centene Corporation (New York, NY)
    …Nursing preferred. 3+ years of combined nursing and appeal and grievance, or utilization management or case management experience. Previous supervisory ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
    Centene Corporation (10/31/25)
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  • Manager Assessment Nurse

    Healthfirst (NY)
    …+ **BA or BSN** + **Relevant clinical experience such as previous care or utilization management , home care, or geriatrics** + **Knowledge of Department of ... **Duties and Responsibilities:** + **Leads and manages daily Reassessment Nurse operations such as overseeing scheduling and staffing, providing clinical… more
    Healthfirst (10/15/25)
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  • Clinical Reviewer, Nurse

    Evolent (Albany, NY)
    …responsible for support and assistance for all cardiology administrative and clinical utilization management and quality improvement functions under the auspices ... in a regulatory role (preferred). **LICENSE/CERTIFICATION:** Current, unrestricted state PA or RN /NP license in medicine or required specialty. Of a PA, obtaining a… more
    Evolent (11/20/25)
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  • Behavioral Health Care Manager II

    Elevance Health (Middletown, NY)
    …services only, and there is licensed staff supervision. + Previous experience in case management / utilization management with a broad range of experience with ... which would provide an equivalent background. + Current active unrestricted license such as RN LCSW LMSW LMHC LPC LBA (as allowed by applicable state laws) LMFT or… more
    Elevance Health (11/14/25)
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  • Residential SUD Counselor - 127 West 25th Street

    Bowery Residents Committee (Manhattan, NY)
    …plans, and crisis intervention. Gather and review documentation as requested for utilization management reviews of clients on caseload including completion of ... LOCADTRs. Participate fully in a multidisciplinary team including MD, RN , LPN, CASAC, LMHC, Peer specialists and LCSW. Provide emergency first aid/CPR assistance… more
    Bowery Residents Committee (09/30/25)
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  • Intake Coordinator- RN Lhtc/ Evenings

    Villa of Hope (Rochester, NY)
    …JOB SUMMARY: Under the general direction of the Nurse Manager, the Intake Coordinator- RN is a Registered Nurse who will assist in supervising Clinical ... risk for suicidal behaviors or leaving against medical advice. MINIMUM QUALIFICATIONS: + NYS Registered Nurse license + Bachelor degree preferred + At least 3… more
    Villa of Hope (11/02/25)
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  • Nurse Case Manager II

    Elevance Health (Latham, NY)
    …to 8:00 PM EST. The ** Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care needs by ... ** Nurse Case Manager II** **Location:** This role enables...providers, claims or service issues. Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
    Elevance Health (11/19/25)
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  • Telephonic Nurse Case Manager II

    Elevance Health (Latham, NY)
    …criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care ... **Telephonic Nurse Case Manager II** **Location: This role enables...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
    Elevance Health (10/30/25)
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  • Nurse Case Mgr I (US)

    Elevance Health (Latham, NY)
    …required by law. The ** Nurse Case Manager I** is responsible for care management within the scope of licensure for members with complex and chronic care needs by ... ** Nurse Case Manager I** **Hours:** **9am-530pm with 2-3...claims or service issues. + Assists with development of utilization /care management policies and procedures **Minimum Requirements:**… more
    Elevance Health (11/19/25)
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  • RN - HIV Medicine Practice

    Albany Medical Center (Albany, NY)
    …States of America) Salary Range: $83,200.00 - $128,960.00 Salary range: $33/hr. - $47.60/hr. Registered Nurse ( RN ) - Full TimeHIV Medicine Clinic - Albany, ... advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse ...Nursing program is required* Current NYS license as a Registered Nurse is required* Minimum of 1-2… more
    Albany Medical Center (10/22/25)
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